| Pamlico Child And Family Therapy | |
|
3282 Wellons Blvd New Bern NC 28562-5234 | |
| (252) 745-7401 | |
| (252) 745-7400 |
| Full Name | Pamlico Child And Family Therapy |
|---|---|
| Speciality | Counselor |
| Location | 3282 Wellons Blvd, New Bern, North Carolina |
| Authorized Official Name and Position | Stephanie Diane Scott (OWNER) |
| Authorized Official Contact | 2525711100 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pamlico Child And Family Therapy 3282 Wellons Blvd New Bern NC 28562-5234 Ph: (252) 571-1100 | Pamlico Child And Family Therapy 3282 Wellons Blvd New Bern NC 28562-5234 Ph: (252) 745-7401 |
| NPI Number | 1508136433 |
|---|---|
| Provider Enumeration Date | 01/10/2012 |
| Last Update Date | 09/01/2022 |
| Certification Date | 09/01/2022 |
| Medicare PECOS PAC ID | 8628320850 |
|---|---|
| Medicare Enrollment ID | O20181016002064 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508136433 | NPI | - | NPPES |
| 6008696 | Medicaid | NC |
| Provider Name | Hanna W Marrett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679567978 PECOS PAC ID: 7113068941 Enrollment ID: I20091230000531 |
| Provider Name | Russell B Snipes |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1396011938 PECOS PAC ID: 5193026250 Enrollment ID: I20151214001963 |
| Provider Name | Ashleigh Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972931061 PECOS PAC ID: 0345581872 Enrollment ID: I20190410003040 |
| Provider Name | Jennifer L Gonzales |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1962994152 PECOS PAC ID: 6103251269 Enrollment ID: I20200117001042 |
| Provider Name | Stacy T Connor |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1043690670 PECOS PAC ID: 0143641845 Enrollment ID: I20200604002809 |
| Provider Name | Valentina Elizabeth Burrola |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1679049225 PECOS PAC ID: 8921416686 Enrollment ID: I20210416002036 |
| Provider Name | Stephanie Diane Scott |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1518263680 PECOS PAC ID: 6406194943 Enrollment ID: I20240306002231 |
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